Brugada Phenocopy Induced by a Lethal Methanol Intoxication

Jesús, Monterrubio-Villar and David, Llinares-Moya (2020) Brugada Phenocopy Induced by a Lethal Methanol Intoxication. European Journal of Case Reports in Internal Medicine, 7 (2). ISSN 2284-2594

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Brugada phenocopies (BrP) are clinical entities that present with an ECG pattern identical to either the type 1 or type 2 Brugada pattern without true congenital Brugada syndrome. This ECG pattern is associated with an identifiable condition and normalizes upon resolution or treatment of the underlying cause. We present a case of a 54-year-old man with extreme metabolic acidosis, hyperkalaemia and a Brugada type 1 ECG pattern in the setting of a suicidal methanol (MeOH) poisoning. Upon correction of these metabolic derangements with bicarbonate infusions and continuous veno-venous haemodiafiltration (CVVH), the Brugada type 1 ECG pattern normalized. Unfortunately, the patient developed signs of cerebral herniation followed by brain death and died on the first day of ICU admission.

Item Type: Article
Uncontrolled Keywords: Immunocompetent, lymphoma, central nervous system, Zoster virus
Subjects: 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale)
Depositing User: Chiara D'Arpa
Date Deposited: 19 Nov 2020 09:58
Last Modified: 19 Nov 2020 09:58

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